Influências da descompressão mecânica usando diferentes forças no espaço articular do joelho, amplitude de movimento e flexibilidade dos isquiotibiais em indivíduos assintomáticos
DOI:
https://doi.org/10.17267/2238-2704rpf.2024.e5768Palavras-chave:
Flexibilidade, Joelho, Faixa Conjunta, Tração, Articulações, UltrasonografiaResumo
INTRODUÇÃO: A descompressão da articulação do joelho é um dos métodos promissores para o tratamento da osteoartrite. No entanto, a força de descompressão mais apropriada não é conclusiva. OBJETIVOS: O objetivo deste estudo foi comparar o efeito de diferentes magnitudes de força de distração espaço articular do joelho, amplitude de movimento ativa (ADM), flexibilidade dos isquiotibiais e desconforto autorreferido em indivíduos assintomáticos. MÉTODOS: Vinte e cinco participantes assintomáticos foram recrutados. O joelho dominante foi distraído por 30 minutos em uma posição de flexão de 30° usando três magnitudes de força (10%, 20% e 30% do peso corporal (PC)). As forças de tração foram randomizadas com uma semana de intervalo entre as distrações do joelho. Espaço articular, ADM e flexibilidade dos isquiotibiais foram avaliados antes, imediatamente após e 30 minutos após a distração. O desconforto autorreferido foi avaliado imediatamente após a distração apenas. RESULTADOS: O espaço articular medial do joelho, ADM e desconforto mostraram uma diferença significativa entre as diferentes magnitudes de força após a distração. As magnitudes de força de 20% e 30% de PC aumentaram significativamente, mas igualmente, o espaço articular e a ADM após a distração. O nível de desconforto estava diretamente relacionado à magnitude da força de distração e o menos reconfortante foi a força de 30% do PC. Os dados de acompanhamento não foram significativamente diferentes dos da pós-distração. A flexibilidade muscular dos isquiotibiais mostrou um aumento significativo, mas pequeno, após a força de distração de 30% do PC. CONCLUSÃO: A distração mecânica contínua da articulação do joelho utilizando magnitudes de força de 20% e 30% do peso corporal foi eficaz no aumento do espaço articular medial, ADM ativa do joelho e flexibilidade dos isquiotibiais em indivíduos assintomáticos. A magnitude de força de 20% era mais confortável do que a de 30%.
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Copyright (c) 2024 Hisham Mohamed Hussein, Ahmed Abdelmoniem Ibrahim, Ibtisam Abdallah Fadulelmulla, Aisha Ansari, Mohammad Shahid Ali, Taif Saad Aljaluod, Ahmed Taha Farrag
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Esta obra está licenciada com uma Licença Creative Commons Atribuição 4.0 Internacional.
